Organization
JENINE L TANABE MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENINE LUCILLE TANABE MD (OWNER/PRESIDENT)
(530) 743-0301
Entity
Organization
Contact information
Practice address
414 G ST STE 204, MARYSVILLE, CA 95901-5669
(530) 743-0301
(530) 743-2241
Mailing address
414 G ST STE 204, MARYSVILLE, CA 95901-5669
(530) 743-0301
(530) 743-2241
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
03/13/2019
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